Managing Excess Saliva Production: Treatment Options and Solutions
Salivary gland issues Hello Dr. Ding: I have been experiencing excessive saliva production for a long time, often needing to swallow every few seconds, and I frequently choke. This is quite bothersome. Are there any medications or minor surgical options available to improve the i...
Dr. Ding Xianwei Reply:
I sincerely apologize, but this is not my area of expertise. I recommend that you consult an otolaryngologist or another specialist for further advice.[Read More] Managing Excess Saliva Production: Treatment Options and Solutions
Key Indicators for Deciding on Tracheostomy in Neurological Patients
Inquiry about reference values regarding tracheostomy or not? Hello Doctor: My father (70 years old) underwent emergency surgery for intracranial hemorrhage and has been in the intensive care unit for a week. After discontinuing sedatives and other medications, he has not yet reg...
Dr. Ding Xianwei Reply:
There are common misconceptions about tracheostomy among the general public. In fact, tracheostomy is a necessary procedure that increases the chances of recovery for patients. Generally, if a patient is expected to be unable to be weaned off the ventilator or endotracheal tube f...[Read More] Key Indicators for Deciding on Tracheostomy in Neurological Patients
Understanding Post-Surgery Coma and Brain Injury Recovery
Coma after brain surgery due to a car accident? My mother was hit by a motorcycle while crossing the street and suffered a severe intracranial hemorrhage. She was urgently taken to the hospital, where the doctor reported extensive bleeding and significant edema in the posterior p...
Dr. Ding Xianwei Reply:
I'm sorry to hear about your mother's condition, and I hope she can turn her misfortune into good fortune. Generally speaking, in cases of head trauma, if surgery is performed to remove a hematoma, it is likely that the hematoma was compressing the brain, necessitating ...[Read More] Understanding Post-Surgery Coma and Brain Injury Recovery
Post-Surgery Memory Confusion in Craniopharyngioma Patients: Seeking Help
Memory disturbances after craniopharyngioma surgery? Dear Dr. Ding, My wife underwent a craniopharyngioma resection surgery in March of this year, and since then, her memory has been in a state of confusion. She cannot distinguish between day and night, and she forgets what she ...
Dr. Ding Xianwei Reply:
Craniopharyngiomas are tumors that primarily grow near the hypothalamus or the pituitary gland, and as a result, many patients experience complications related to hormonal deficiencies after surgery. However, symptoms of psychiatric disorders are relatively rare. Currently, the s...[Read More] Post-Surgery Memory Confusion in Craniopharyngioma Patients: Seeking Help
Understanding Intracranial Hemorrhage and Coma: Hope and Options
Intracranial hemorrhage with coma? Hello doctor, my father-in-law fell from a height of about three meters yesterday and hit the back of his head directly on the ground, resulting in intracranial hemorrhage. He is currently in a coma, with a Glasgow Coma Scale score of 4 and is n...
Dr. Ding Xianwei Reply:
Hello: Due to the lack of complete information regarding your father-in-law's condition, including details about the bleeding and other related data, I can only make general assessments. Therefore, a detailed diagnosis and treatment should be based on the patient's comp...[Read More] Understanding Intracranial Hemorrhage and Coma: Hope and Options
Understanding Disc Herniation: Causes, Treatments, and Recovery Tips
Herniated disc Hello, doctor. I have a few questions to ask. Last March, I was diagnosed with a herniated disc, and after undergoing traction therapy, I improved. However, it recurred in May of this year. I am currently receiving traction therapy again and have also consulted a t...
Dr. Ding Xianwei Reply:
Your symptoms appear to indicate a herniated disc. We will need to wait for the results of your MRI before making further recommendations. Wearing a brace may provide some assistance, but be mindful of how you use it. You can look for the suggestions I have written in the past. W...[Read More] Understanding Disc Herniation: Causes, Treatments, and Recovery Tips
Understanding Bee Venom Aftereffects: Impact on Health and Immunity
Bee venom sequelae After a bee sting, if there is a swelling that persists and continues to move around multiple times, can it damage the immune system and hinder blood circulation? Will it affect health? Will it impact saliva secretion? What is Sjögren's syndrome?
Dr. Zheng Zhong Reply:
Hello: Regarding the immune response to bee stings, a bee sting can potentially trigger allergic reactions, which may manifest as urticaria and lymphadenopathy. In severe cases, it can lead to mucosal edema, respiratory difficulties, or anaphylactic shock. Individuals who are all...[Read More] Understanding Bee Venom Aftereffects: Impact on Health and Immunity
Managing Post-Surgery Pain and Numbness from L4-L5 Disc Herniation
There is a herniated disc issue at the L4 and L5 levels? Hello, three years ago I had a herniated disc at the L4 and L5 levels that was compressing a nerve, causing numbness in my left calf. Three months ago, the doctor performed surgery to remove the herniated disc. Although the...
Dr. Ding Xianwei Reply:
Hello, regarding your symptoms after surgery. Since I am not familiar with your specific situation, the following suggestions are for reference only. Generally speaking, if there is an acute herniated disc with nerve root compression, surgery can be performed for decompression. H...[Read More] Managing Post-Surgery Pain and Numbness from L4-L5 Disc Herniation
Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
excuse me? After experiencing intracranial hemorrhage, there are several important considerations to keep in mind during recovery. Since the injury occurred from a fall while riding a bike, and there was a reported hematoma of nearly 1 cm, likely a subdural hematoma, it is crucia...
Dr. Zhang Yuanyi Reply:
Hello, 1. How long does it take for the bleeding to be absorbed by the body? Will it be completely absorbed? → It can take anywhere from 1 to 3 months, and it is possible for it to be completely absorbed. 2. He experienced headaches a few days ago, but not recently. Could thi...[Read More] Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
Understanding Osteoporotic Vertebral Compression Fractures in Seniors
Vertebral compression fractures caused by osteoporosis? The mother is 76 years old and had a crush fracture in her lumbar spine due to a fall four years ago. She is currently visiting the hospital for consultation. The doctor mentioned the need for bone cement injection. Could yo...
Dr. Ding Xianwei Reply:
Hello, generally speaking, fractures in the elderly are usually due to osteoporosis. However, due to insufficient data, I cannot provide specific recommendations. If it has been four years, whether a vertebroplasty is necessary would depend on the patient's condition, which ...[Read More] Understanding Osteoporotic Vertebral Compression Fractures in Seniors
Choosing Between Surgery and Gamma Knife for AVM Treatment: A Patient's Dilemma
Concerns about surgery or gamma knife treatment? I was hospitalized at the end of December last year due to bleeding from an arteriovenous malformation. At that time, the doctor administered medication to reduce intracranial pressure. After I regained consciousness, I noticed tha...
Dr. Ding Xianwei Reply:
Since you have not provided detailed information about the arteriovenous malformation, I am currently unable to offer specific advice. Generally speaking, the complications associated with embolization are fewer; however, there is a risk of rebleeding within one to two years afte...[Read More] Choosing Between Surgery and Gamma Knife for AVM Treatment: A Patient's Dilemma
Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
The relationship between sympathetic nerve resection and blushing? Thirteen years ago, I underwent a sympathectomy for hyperhidrosis. After the surgery, compensatory sweating shifted to my legs and the soles of my feet, and I also experienced facial flushing. I'm unsure if t...
Dr. Zheng Zhong Reply:
It is rare to experience hand cracking and rosacea-like skin conditions after sympathetic nerve ablation. Long-term inappropriate use of medications is more likely to be the cause. It is recommended that you consult another dermatologist for further evaluation.[Read More] Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
Alternative Treatments for Meningioma Surgery Complications: Hydrocephalus Insights
After surgery for a meningioma, if hydrocephalus occurs, are there other treatment options available? Hello, my mother is 67 years old and started experiencing urinary incontinence, facial drooping, unsteady walking leading to frequent falls, and difficulty swallowing liquids sin...
Dr. Ding Xianwei Reply:
I sincerely apologize, but without knowing the exact location of the meningioma and the overall condition, I am unable to provide much advice regarding your mother's treatment. Generally speaking, surgery is the best option for brain tumors when feasible. However, for certai...[Read More] Alternative Treatments for Meningioma Surgery Complications: Hydrocephalus Insights
Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Subarachnoid hemorrhage (SAH) refers to bleeding in the space between the brain and the tissues covering it, known as the subarachnoid space. This condition can occur due to various causes, including the rupture of an aneurysm, head trauma, or other vascular malformations? In the...
Dr. Zhang Yuanyi Reply:
Dear Ah-Hsien: Post-traumatic stress disorder, chronic bleeding, or new neurological conditions must all be considered, especially taking into account age and any related medical conditions. It is best to have a physician evaluate and make a diagnosis. Wishing you peace and healt...[Read More] Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Effective Surgical Options for Osteoporotic Vertebral Compression Fractures in Seniors
Osteoporotic vertebral compression fractures in the elderly? Hello, my grandmother is 87 years old and has suffered from vertebral compression fractures due to osteoporosis. She has undergone conservative medical treatment with little effect and cannot sit for long periods. I hav...
Dr. Zheng Zhong Reply:
In elderly patients, vertebral compression fractures must first undergo differential diagnosis to determine whether they are solely due to osteoporosis or if they are pathological fractures (common causes include metastatic cancer, osteomyelitis, or multiple myeloma). Reliable di...[Read More] Effective Surgical Options for Osteoporotic Vertebral Compression Fractures in Seniors
Understanding Giant Cell Tumors: Causes, Treatment, and Dietary Tips
Doctor, please, thank you! Hello, doctor! My brother has been diagnosed with a giant cell tumor at Taichung Veterans General Hospital. What kind of disease is this? How does it develop? What should he eat that would be beneficial for him?
Dr. Ding Xianwei Reply:
Where is your giant cell tumor located? Have you consulted an orthopedic specialist?[Read More] Understanding Giant Cell Tumors: Causes, Treatment, and Dietary Tips
After a Fall: Understanding Head Injuries and When to Seek Help
Slipped and hit the back of the head? Hello, my husband slipped on a thin layer of ice on an asphalt road and fell, hitting the back of his head hard against the ground. I immediately called out to him, but he did not respond at all. I saw him lying on the ground with his eyes wi...
Dr. Ding Xianwei Reply:
The patient should be taken directly to the emergency room for evaluation and management. The attending specialist will assess the situation and provide the best possible care.[Read More] After a Fall: Understanding Head Injuries and When to Seek Help
How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?
How long does it take from the time a question is asked until the physician responds? Dr. Ding, is it appropriate to use an Ommaya CSF Reservoir or a Medtronic CSF-Ventricular Reservoir for drainage and pressure relief in cases of intracranial hemorrhage? Additionally, how long d...
Dr. Ding Xianwei Reply:
I apologize for not receiving your question a week ago. Due to the lack of information regarding the patient's condition, we are unable to provide an answer regarding your inquiry about the choice between the Ommaya CSF Reservoir or the Medtronic CSF-Ventricular Reservoir. S...[Read More] How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?
Understanding Post-Surgery Complications After Meningioma Removal
Postoperative conditions after meningioma surgery? My wife experienced several episodes of aphasia four months ago, and after examination, a meningioma was discovered. She underwent a minimally invasive surgery to remove it (although it is unclear if it was completely excised), a...
Dr. Zheng Zhong Reply:
Post-surgery, it is necessary to conduct follow-up imaging studies to confirm whether the brain tumor has been completely resected. Antiepileptic medications should be continued for six months after brain tumor surgery to prevent seizures, as recurrent seizures can cause damage t...[Read More] Understanding Post-Surgery Complications After Meningioma Removal
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi Reply:
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained